Individual and Contextual Factors Associated with Adolescents' Self-Perceived Need for Treatment.

Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE

Original Publication: Basel : MDPI, c2004-

Self Concept*; Humans ; Adolescent ; Male ; Female ; Brazil ; Cross-Sectional Studies ; Young Adult ; Surveys and Questionnaires ; Oral Health ; Toothache/psychology

The present study aimed to investigate associations between the self-perceived dental treatment need and clinical factors, familial characteristics, and school context in adolescents. A cross-sectional study was conducted with a representative sample of 746 students aged 15 to 19 years in a medium-sized city in Brazil. Data collection involved the use of a sociodemographic questionnaire, an oral health questionnaire, and the Family Adaptability and Cohesion Scales (FACES III) instrument. Clinical examinations were performed by two trained and calibrated examiners (Kappa > 0.80) using the Nyvad criteria. A robust logistic regression analysis for complex samples was performed using a multilevel approach (α = 5%). The individual factors associated with the self-perceived treatment need were dental pain (OR = 1.08; 95% CI: 1.01-1.16), the loss of the first molars (OR = 1.09; 95% CI: 1.03-1.15), and disengaged family cohesion (OR = 1.15; 95% CI: 1.01-1.31). In terms of context, attending a public school was associated with the self-perceived treatment need (OR = 1.17; 95% CI: 1.02-1.33). Thus, the individual factors of toothache, tooth loss, and a disengaged family, as well as the school context, exerted an influence on the self-perceived treatment need.

Int J Paediatr Dent. 2017 Sep;27(5):334-343. (PMID: 27598691)
Community Dent Oral Epidemiol. 2020 Apr;48(2):130-136. (PMID: 31828838)
Int J Paediatr Dent. 2021 Mar;31(2):204-211. (PMID: 32413175)
Rev Panam Salud Publica. 2000 Apr;7(4):255-63. (PMID: 10846929)
Health Qual Life Outcomes. 2017 Aug 30;15(1):173. (PMID: 28854934)
Community Dent Health. 2018 May 30;35(2):75-80. (PMID: 29797849)
Community Dent Oral Epidemiol. 2014 Aug;42(4):323-32. (PMID: 24428381)
Braz Oral Res. 2020 Apr 17;34:e037. (PMID: 32321055)
PLoS One. 2019 Nov 27;14(11):e0225176. (PMID: 31774850)
Oral Dis. 2018 Oct;24(7):1310-1317. (PMID: 29878498)
Caries Res. 2018;52(5):397-405. (PMID: 29506010)
Caries Res. 2021;55(2):144-152. (PMID: 33721863)
Braz Oral Res. 2020 Mar 27;34:e029. (PMID: 32236318)
Braz Dent J. 2017 Jan-Feb;28(1):113-120. (PMID: 28301028)
Niger Postgrad Med J. 2017 Jan-Mar;24(1):37-43. (PMID: 28492208)
Community Dent Health. 2018 May 30;35(2):95-101. (PMID: 29645408)
Community Dent Oral Epidemiol. 2020 Jun;48(3):232-239. (PMID: 32009250)
Acta Odontol Latinoam. 2013;26(1):8-14. (PMID: 24294818)
Int J Paediatr Dent. 2021 Mar;31(2):262-269. (PMID: 32969545)
Community Dent Oral Epidemiol. 2021 Feb;49(1):23-32. (PMID: 32815223)
Biomed Res Int. 2021 Sep 29;2021:4504030. (PMID: 34631881)
Cien Saude Colet. 2019 Oct 28;24(11):4061-4070. (PMID: 31664379)
J Dent Res. 2016 Apr;95(4):388-94. (PMID: 26758380)
Dent Traumatol. 2017 Dec;33(6):444-450. (PMID: 28857447)
Cien Saude Colet. 2013 Aug;18(8):2461-73. (PMID: 23896929)

001 Coordenação de Aperfeicoamento de Pessoal de Nível Superior; 001 Fundação de Apoio à Pesquisa do Estado da Paraíba

Keywords: adolescent; dental health services; family relations; oral health; schools

Date Created: 20240427 Date Completed: 20240427 Latest Revision: 20240429

20240429

PMC11049991

10.3390/ijerph21040395

38673308